Pros
Yo-yo dieting offers virtually no health benefits; it is really a pattern of failure. The only potential benefit is that, for some people, each weight loss phase may temporarily improve some health markers (e.g., blood pressure, blood sugar, lipid profile).
However, these improvements disappear upon weight regain, providing no lasting benefit. Because of the potential negative effects of weight-cycling, it is now debated whether it is better to have tried and failed than to have never tried to lose any weight at all.
Cons
Research shows that much of the weight lost from dieting is usually regained within one year, with many people regaining most or all of their weight within five years. Many dieters end up weighing more than their pre-diet weight after repeated yoyo ‘cycles’. Some evidence suggests that weight cycling may increase body fat percentage, as weight loss generally involves losing both fat and muscle, while the weight regain phase may include regaining a higher amount of body fat.
Some studies also show that weight cycling may worsen metabolic health, appetite, and blood sugar levels. Mental health issues are also well-documented, with weight cycling associated with lower self-esteem, poor body image, increased body dissatisfaction, higher drive for thinness, symptoms of depression and anxiety, a sense of failure and helplessness, and potentially increased chance of having an eating disorder. These mental health issues may be more harmful than the physical ones, particularly in youngsters and women.
Nutritional quality during weight cycling is not well studied, but it is likely problematic. If restrictive diets are used during weight loss phases, they are typically nutritionally inadequate, as are diets where weight regain occurs. Repeated cycles of under-consumption followed by periods of over-consumption of low-quality food likely create nutrient deficiencies.
The weight cycling pattern of failure often perpetuates itself. Each failed attempt triggers more extreme restrictions in the next effort. This may create an increasingly unhealthy relationship with food and greater resistance to weight loss with each failed cycle.
Bottom Line
Yo-yo dieting represents a pattern of unsuccessful weight control with little health benefit, but it likely decreases long-term health prospects. Rather than repeatedly failing to follow severe restrictive dieting, evidence supports sustainable lifestyle changes, weight-neutral health improvements that focus on behaviour rather than just scale weight.